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Environmental Information Form <br /> Part B <br /> DATE : �Z <br /> (To be Completed By Applicant ) <br /> NOTE : In completing this form, use additional sheets if necessary . <br /> Answer all questions to the best of your ability . If a question <br /> is not applicable to your project, write NA (not applicable ) . <br /> Please do not leave blanks . Incomplete forms cannot be accepted. <br /> PERSON COMPLETING FORM PROPERTY OWNER X _AGENT OF OWNER <br /> Name T)on Fal 1 et 1 , DRA Rig Big Ent, <br /> Address 420 Hudner T,n <br /> City Noll i ster <br /> State/Zip CA, 95023 <br /> Phone (4.08) 637-3040 <br /> A. PROJECT DESCRIPTION <br /> 1 . Type of application: 0 Use Permit, Q Major Subdivision, <br /> Zone Reclassification, Q Minor Subdivision, E] Site Approval , <br /> t—! Zone variance, u Other: <br /> 2 . Project location: 14613 North Thornton Rd, Lodi CA <br /> Describe the project; i .e . , request being made and nature of use . <br /> Identify specific project components : provid , facilities for weighing <br /> And washing of &1' si zps of vehinles and equipment -Insta 1 a 75' <br /> Pohl in anal P_ rnnStri]rnt nffi n.P and s orapre hui ldi nor and two wash bays. <br /> Maahi nary- pressure nu -nq, ya .c um .G._puri f1 cati on filtering system, <br /> total reclame, Cleaning compounds are Biodegradeable. <br /> 3 . Total acreage of project:_ 2 _ # of existing parcels : 2 <br /> Assessor Parcel # (s ) :_ 05.5-150-03104 <br /> 4 . If there is an existing EIR assessing any aspect of your project <br /> site, provide title and date: none <br /> 5. Other permits and approvals (County, Regional, State and Federal ) <br /> required for this project:. <br /> PERMIT AGENCY <br /> Erloroachment permit for work within road Right of way <br /> Use Permit Application - 7 - ( 6/86 ) <br />